Organization
KINGDOM LIVING FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE WATERS (DIRECTOR)
(252) 527-7845
Entity
Organization
Contact information
Practice address
1173 KEARNEY CEMETARY RD, SNOW HILL, NC 28580-8124
(252) 527-7845
Mailing address
1173 KEARNEY CEMETARY RD, SNOW HILL, NC 28580-8124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-040-034
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-040-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-040-034
MENTAL HEALTH
NC
Enumeration date
02/21/2007
Last updated
09/11/2025
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